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Utah rates for HCPCS A4383

Ostomy Pouch Urinary For Use On Faceplate Rubber Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $10.78 / $10.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.78 / $20.99 / $113.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.07 / $26.07 / $26.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.07 / $22.16 / $27.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.57 / $28.75 / $37.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.90 / $27.57 / $41.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $16.70 / $23.96